I-infarction ye-pulmonary ukufa kwengxenye yamaphaphu amaphaphu abangelwa ukuphazanyiswa kwegazi layo, ngokuvamile ngenxa yokuvinjelwa emithanjeni yegazi ehlinzeka ngamathanga emaphaphu.
Izimpawu ze-Pulmonary Infarction
Izimpawu ze-infarction ye-pulmonary zingashintsha kakhulu. Ngokuvamile i-infarction yamapulmasi ihambisana ne- hemoptysis (ukukhwehlela kwegazi), umkhuhlane, i- dyspnea (ukuphefumula okuncane), kanye / noma ubuhlungu obufana ne- pleurisy (ubuhlungu besifuba endaweni ye-infarction lapho udweba umoya).
Kwezinye izimo, noma kunjalo, i-infarction ye-pulmonary izokhiqiza ngaphandle kwezimpawu. Eqinisweni, i-infarction endala ye-pulmonary ngezinye izikhathi ikhonjiswe njengento yokutholwa engafanele lapho i-nodule noma ubukhulu ibonakala kwi-x-ray yesifuba esivamile.
Izimbangela zePulmonary Infarction
Ngokweqile, imbangela evame kakhulu ye-infarction ye-pulmonary is embolism ye-pulmonary (i-clot yegazi ehamba emaphashini). Kodwa-ke, ezinye izimo zezokwelapha eziningana zingakhipha i-infarction ye-pulmonary, kuhlanganise nomdlavuza, izifo ezizimele njenge- lupus , izifo ezihlukahlukene zegciwane , izifo ze- sickle cell , izifo zamaphaphu ezingenawo amakhemikhali njengama- amyloidosis , noma ukufakwa kwamanye umoya noma ezinye izinto ezivela emathinini.
Kungakhathaliseki ukuthi yiyiphi imbangela, i-infarction ye-pulmonary ayiyona into engavamile, ngoba izicubu zamaphaphu zinemithombo emithathu engaba khona yomoya-mpilo: umthambo we-pulmonary, umthambo we-bronchial (imishanguzo ehlinzeka ngesihlahla esibuhlungu), kanye ne- alveoli ngokwabo (ama-air bag ngaphakathi kwamaphaphu).
Lokhu kusho ukuthi iziphazamiso zamapulmoni zivame ukubonwa kubantu abanezifo eziphazamisayo zesifo samapayipi, njenge- chronic obstructive pulmonary disease .
Ukwelashwa kwe-Pulmonary Infarction
Ukwelashwa kwe-infarction yamaphalenda kuhlanganisa ukunakekelwa okusekelayo kanye nokuphathwa kwesimo esibucayi.
Ukunakekelwa okusekelayo kuhlanganisa nokugcina okwanele okwenziwe nge-oxygenation ngokulawula umoya we-oxygen nokulawula ukuphefumula ngokukhululekile. Uma igazi elanele le-oksijini alikwazi ukugcinwa ngokuletha umoya-mpilo nge-nasal cannula noma ubuso obusweni, isiguli singase sidinge ukusizwa futhi sibekwe ku-ventilator.
Okunye ukwelashwa kuxhomeke ekubanjeni okusobala okuyisisekelo. Ukwelashwa okudabukisayo kufanele kuqaliswe ukonakala kwegciwane lesifo noma ukutheleleka uma kubonakala sengathi lezo zimbangela zibonakala zikhona. Ukwelapha kufanele kuphakanyiswe (uma kunokwenzeka) nganoma yisiphi isifo sokuzimela esiye sabangela inkinga, futhi izinketho zokwelapha kudingeka zihlolwe kabusha uma umdlavuza kungenxa yalokho.
Kodwa-ke, kuningi lamacala, ukuhlukunyezwa kwamapulmoni kubangelwa ukuhlanganiswa kwamapulmoni. Kulezi zimo, ukwelashwa kufaka, ngaphezu kokunakekelwa okusekelayo, isikhungo semithi ye-anticoagulant, ngokuvamile ephethe i-heparin engenalutho, elandelwa ezinsukwini ezimbalwa nge-anticoagulant yomlomo.
Kodwa-ke, ezimweni lapho i-pulmonary embolus ikhulu kakhulu futhi ibonakala sengathi ikhiqiza i-infarction enkulu ye-pulmonary, noma ikakhulukazi uma igazi ligeleza emaphashini lishintsha kakhulu kangangokuthi umkhiqizo we-cardiac uyawa, kungase kudingekile ukuphatha i-fibrinolytic ("i-clot-busting ") Izidakamizwa ukuzama ukudiliza ikhabethe elivimbela ukugeleza kwegazi.
Ingozi eyengeziwe ehilelekile ekusebenziseni lezi zidakamizwa, kulezi zimo, ingaphezu komngcipheko wokufa uma i-clot ihlala lapho ikhona khona.
Futhi uma isimo sinzima ngokwanele, kungase kudingeke ngisho nokuzama inqubo yokuhlinza ukususa i-clot yokuvimbela.
> Imithombo:
> I-Parambil JG, i-CD ye-Savic, i-Tazelaar HD, et al. Izimbangela Nokuletha Izindleko Zokuzibandakanya KwamaPulmonary kuma-43 Amacala Ahlonishwa Ngokwe-Lung Biopsy. I-Chest 2005 Apr; 127 (4): 1178-83.
> Kucher N, i-Goldhaber SZ. Ukuphathwa kwe-Massive Pulmonary Embolism. Ukujikeleza ngo-2005; 112: e28.
> Kabrhel C, Jaff MR, Channick RN, et al. Ithimba lempendulo yokuBumbana kwePulmonary Embolism Response Team. I-Chest 2013; 144: 1738.